SAN MATEO COUNTY NPI 1619155942

NPI Information

NPI: 1619155942
Provider Name: SAN MATEO COUNTY
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
400 EDMONDS RD
REDWOOD CITY, CA
ZIP 94062
Phone: (650) 839-1810
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SAN MATEO COUNTY is a community based residential treatment facility mental illness in Redwood City, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SAN MATEO COUNTY NPI is 1619155942. The provider is registered as an organization entity type.

The provider's business location address is:

400 EDMONDS RD
REDWOOD CITY, CA
ZIP 94062-803
Phone: (650) 839-1810

The provider's authorized official is Jason Johnson .
The authorized official title is Group Home Counselor and has the following contact phone number (707) 694-0353.

The enumeration date for this NPI number is 2/8/2008 and was last updated on 2/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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